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FORNEY MIRROR LAKE DENTISTRY PLLC
NPI 1730676735
Clinic/Center - Dental in Forney, TX

Active since April 16, 2018
845 N. FM 548, SUITE 150, FORNEY, TX 75126(972) 200-1190 Get Directions Write a Review

NPPES record last updated: April 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Forney Mirror Lake Dentistry Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FORNEY MIRROR LAKE DENTISTRY PLLC (NPI 1730676735) is a healthcare organization registered as a dental in Forney, Texas and active in the NPI registry since April 2018. The organization lists Justin Humphries, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1730676735
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameFORNEY MIRROR LAKE DENTISTRY PLLC
Location Address845 N. FM 548, SUITE 150Forney, TX 75126
Mailing Address845 N. Fm 548, Suite 150Forney, TX 75126 · (972) 200-1190
Phone(972) 200-1190
Organization SubpartNo
Authorized OfficialJustin HumphriesDirector Of Operations · (972) 200-1190
Enumeration DateApril 16, 2018
✔ NPI 1730676735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in TX · 29699
845 N. FM 548, Forney, TX 75126
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Forney Mirror Lake Dentistry PLLC's NPI number?

The NPI number for Forney Mirror Lake Dentistry PLLC is 1730676735. It was assigned to this organization in the NPPES registry on April 16, 2018.

Where is Forney Mirror Lake Dentistry PLLC located?

Forney Mirror Lake Dentistry PLLC is located at 845 N. Fm 548 Suite 150, Forney, TX 75126. The listed phone number is (972) 200-1190.

What is Forney Mirror Lake Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Forney Mirror Lake Dentistry PLLC was last updated on April 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.